University of Pittsburgh

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "University of Pittsburgh"

Transcription

1 University of Pittsburgh Graduate School of Public Health Center for Bio- Terrorism Response 130 DeSoto Street Pittsburgh, Pennsylvania / October 2000 The Honorable James S. Gilmore III Governor Commonwealth of Virginia Chairman, Advisory Panel to Assess Domestic Response Capabilities for Terrorism Involving Weapons of Mass Destruction James Clapper, Jr. Lieutenant General, United States Air Force (Retired) Vice Chairman, Advisory Panel to Assess Domestic Response Capabilities for Terrorism Involving Weapons of Mass Destruction Dear Governor Gilmore and General Clapper: Thank you for the opportunity to attend the Panel's meetings on September 2000 at the Library of Virginia in Richmond. Please distribute my comments to the Panel and make them a part of the Public Comment section of your deliberations. My comments are offered as an alternative assessment of the medical and public health capacities needed to prepare for and respond to terrorist attacks, and more specifically to attacks by terrorists using biological agents. I have also included comments on the organization and structure of government. My comments are based on my current role as Director for Bioterrorism Preparedness and Response at the Graduate School of Public Health at the University of Pittsburgh and as Co-Director of the Bio-Medical Security Institute -- a collaboration of Carnegie Mellon University and the University of Pittsburgh with the mission of advancing the capability to detect, analyze, prevent and respond to acts of terrorism and natural events involving biological agents. They are also based on my twenty-five year involvement in senior interagency national security issues in Washington, including four years in the White House as an advisor on national security issues to Vice President Bush and as a consultant to the Army Office of the Surgeon General and the Office of the Secretary of Defense on chemical and biological warfare and terrorism medical and public health defense and responses. 1

2 Public Health and Medical Preparedness and Response to Terrorism Terrorism has moved away from kidnappings and assassinations towards having the capability to employ chemical, biological, radiological and nuclear (CBRN) weapons. It has moved from focused targeting and few casualties to the possibility of indiscriminate use of CBRN and mass casualties. The diffusion of technology and scientific knowledge and the possibility of materiel, scientists and knowledge leaking from the former Soviet Union have increased the threat and the possibility that we may soon see terrorists using CBRN against civilian populations. It is important to recognize that there is a clear distinction among the types of agents that could be used: chemical, biological, radiological and nuclear. The distinctions are most clear when one considers the primary functions in countering attacks: Planning, Detection, Response, Containment, and Follow-up. In your deliberations as a panel, you may want to consider using such a framework for assessment of the capabilities and needs of Federal, State and local preparedness. The functional preparedness and response distinctions among the types of weapons (CBRN) are most significant when considering Detection, Response and Containment. The physical properties of the agents dictate this. The effects of most chemical attacks, in the main, are immediate, visible and can be smelled, and the victims reaction is immediate and at the scene of the attack. Thus the role of first responders. The silent and secretive nature of a bio attack and the delayed onset of illness following a bioterror attack results in victims being seen some days later by primary care physicians, clinicians and infectious disease specialists and in emergency rooms. Responding to a bioterror attack requires medical and infectious, possibly contagious, disease treatment, epidemiological investigations, hospital and non-hospital care for very large numbers of patients (in a worst case, tens of thousands), psychiatric and stress management responses, and information from public officials. In a chemical attack, the numbers will usually be far fewer due to the amounts of agent needed, and more localized. Many victims of a chemical attack will be treated as hazardous materials and bum victims, as no infection or contagious disease spread is possible. Finally, containment of a bioterror attack requires infection control in medical facilities, contagious disease precautions and identifying a large population at risk. In a chemical attack, decontamination is the major containment measure. Biological terrorism is considered a low probability, high consequence event. It could be further categorized in two scenarios: if there are a small number of victims the consequences, in addition to medical and public health, are policy and law enforcement issues; for a scenario with large numbers of victims the responses are mostly medical and public health issues, and the need for immediate and massive critical care. From this one can see the logic of building a bioterrorism response capability around and on the existing medical (treatment of individuals) and public health (protecting the health of the community and preventing the spread of disease) system. All said, a new infrastructure 2

3 for responding to bioterrorism is not necessary. Building on the excellent medical and public health capabilities in our country is the prudent and sensible course. As for the diseases against which to prepare, there was discussion during the Panel meeting of smallpox. It may be of some benefit to include mention of the other diseases on the Centers for Disease Control's A, B and C lists (Morbidity and Mortality Weekly Report, Biological and Chemical Terrorism: Strategic Plan for Preparedness and Response, April 21, 2000). In this regard, I do not think that a bioterror attack will be a "stuttering attack," in which many diseases unfold over time due to different incubation periods. While anything is possible, for a-non-state-sponsored terrorist, it is technically hard enough to mount an attack using one biological agent, let alone several. Most credible threat analyses predict an attack using only one agent. The technology and scientific proficiency needed to prepare, manufacture and disseminate one agent is hard enough, without attempting to mount an attack with several agents simultaneously. As for improved surveillance, recognition and identification, the individual practitioner is essential, as was discussed by the presenter, for diagnosing individual patient symptoms. A bioterror attack, if conducted efficiently and effectively, will be unknown to medical, public health and law enforcement officials until well after the event. Early warning of an attack will be detected not by an individual practitioner treating one patient, but by determining patterns of symptoms in real-time over a large number of patients, over large geographic areas, correlated by case definitions and algorithms, supported by real-time analysis of electronic patient medical records and electronic laboratory results. This can be accomplished by an integrated, real-time automated Internet-based system where symptoms are entered into a patient's electronic medical records by the clinician as each patient presents his illness. (I must note that the BioMedical Security Institute (of which I am co-director) -- a collaboration of Carnegie Mellon University and the University of Pittsburgh with the mission of advancing the capability to detect, analyze, prevent and respond to acts of terrorism and natural events involving biological agents -- has received funding from the Centers for Disease Control and the Agency for Healthcare Research and Quality to study and develop symptom and syndromic surveillance systems based on information technology.) With a national networked symptom and laboratory-based computer-based surveillance system, early warning of a bioterror attack can be determined and health authorities notified. The matter of patient medical records and patient confidentiality (privacy) is an issue of considerable concern. For medical purposes, each patient's privacy must be respected. When patients are accumulated into public health data, individual patient identifiers can be removed to assure privacy. The problem is that as patients are identified as victims of a bioterror attack, it is necessary that the larger population at risk be identified so that rapid preventive treatment may preempt further illness or death. As for the discussion of human testing in the proposed report, I would caution the Panel away from this issue. There are no reasons to conduct testing of biological agents and medical response and treatment measures on humans. 3

4 As for indemnification of private entities such as HMOs, public and private hospitals, even schools used for overflow bed space for patients, this issue is fraught with constitutional issues as relate to Presidential authorities to declare national emergencies. In sum, the Panel may wish to consider the following health recommendations for inclusion in its report: Recommendations 1. Encourage the Centers for Disease Control, the Agency for Healthcare Research and Quality and the Defense Advanced Research Projects Agency in their support of the development of information technology tools that can be applied to early warning of bioterrorist attacks against civilian populations. 2. Encourage CDC to expand the National Emergency Disease Surveillance System (NEDSS) to reach down to the city and county level to provide for early warning of unusual disease outbreaks and resolve public policy issues so that the system may be expanded to reach clinicians' offices via a real-time electronic Internet linkage of symptoms and laboratory results, diagnostic and clinical coding and insurance billing. 3. Encourage JCAHO to include planning for massive infectious disease epidemics in its criteria for assessing hospitals. 4. Encourage development of public policy for the role, funding and compensation of HMOs and public and privately held medical facilities responding to terrorist attacks. National Strategy and White House Policy The issue of whether or not the current Administration has a strategy for preparing for and responding to terrorism, as was discussed at the September meeting of the panel, goes to the issue of how a particular President organizes his Administration for national security decision-making. A strong central National Security Council staff can function in such a way as to accomplish coordination. The Panel's discussion of having a White House office similar to the National Drug office is worthy of inclusion in the Panel's report. On the other hand, very careful consideration is needed so that no operational, law enforcement or intelligence ftinctions be in the White House or the Executive Office of the President. While there is a need for a national office for countering and responding to terrorism, its placement, as an operational organization within the OEP structure must be very carefully thought through. Similarly, as for the need for a national intelligence officer for terrorism, to collate and analyze both domestic and foreign terrorist intelligence is a commendable concept and must be accomplished, given the fluidity of terrorism across national borders. Recently General Clapper and I met and evolved a possible solution to the report: seeming inability of this Administration to coordinate the domestic preparedness responses of the departments and agencies of the government in response to acts of terrorism. As illustrated in the Panel's 15 December 1999 report, the bureaucratic structuring of the government leads to 4

5 chaos. The domestic preparedness and emergency preparedness planning and coordination functions in the various departments and agencies are fragmented and often an afterthought and an added duty. A single point of contact in each department and agency for emergency preparedness planning and coordination (domestic preparedness for terrorism response) with no added duties, nor as an added duty, provides a simple and clear approach and clear lines of responsibility. This person, at the White House level and in each department and agency should be at least at the deputy assistant secretary level. The Panel may wish to consider the following recommendation for inclusion in its report: Recommendation Each department and agency and the White House Staff (National Security Council staff) should have a single point of contact whose sole function will be emergency preparedness, planning and coordinating of domestic preparedness for terrorism response functions with no added duties, nor as an added duty, at least the deputy assistant secretary level. Sincerely, Samuel J. Watson III Director 5

Terrorism Consequence Management

Terrorism Consequence Management I. Introduction This element of the Henry County Comprehensive Emergency Management Plan addresses the specialized emergency response operations and supporting efforts needed by Henry County in the event

More information

In his 6 November 2001 testimony before the Senate

In his 6 November 2001 testimony before the Senate Biological Terrorism: Practical Response Strategies By Dr. Mohamed Athher Mughal Introduction In his 6 November 2001 testimony before the Senate Judiciary Subcommittee on Technology, Terrorism, and Government

More information

NATO MEASURES ON ISSUES RELATING TO THE LINKAGE BETWEEN THE FIGHT AGAINST TERRORISM AND THE PROLIFERATION OF WEAPONS OF MASS DESTRUCTION

NATO MEASURES ON ISSUES RELATING TO THE LINKAGE BETWEEN THE FIGHT AGAINST TERRORISM AND THE PROLIFERATION OF WEAPONS OF MASS DESTRUCTION NATO MEASURES ON ISSUES RELATING TO THE LINKAGE BETWEEN THE FIGHT AGAINST TERRORISM AND THE PROLIFERATION OF WEAPONS OF MASS DESTRUCTION Executive Summary Proliferation of WMD NATO s 2009 Comprehensive

More information

NYS Office of Homeland Security Upcoming Training Course spotlights and schedule

NYS Office of Homeland Security Upcoming Training Course spotlights and schedule NEW YORK STATE OFFICE OF HOMELAND SECURITY TRAINING SCHEDULE AS OF JANUARY 22, 2009 NYS Office of Homeland Security Upcoming Training Course spotlights and schedule INCIDENT RESPONSE TO TERRORIST BOMBING

More information

EXECUTIVE ORDER 12333: UNITED STATES INTELLIGENCE ACTIVITIES

EXECUTIVE ORDER 12333: UNITED STATES INTELLIGENCE ACTIVITIES EXECUTIVE ORDER 12333: UNITED STATES INTELLIGENCE ACTIVITIES (Federal Register Vol. 40, No. 235 (December 8, 1981), amended by EO 13284 (2003), EO 13355 (2004), and EO 13470 (2008)) PREAMBLE Timely, accurate,

More information

Chemical Terrorism Preparedness In the Nation s State Public Health Laboratories

Chemical Terrorism Preparedness In the Nation s State Public Health Laboratories Chemical Terrorism Preparedness In the Nation s State Public Health Laboratories Association of Public Health Laboratories May 27 Since 23, when the nation s public health laboratories were first charged

More information

8 ESF 8 Public Health and Medical. Services

8 ESF 8 Public Health and Medical. Services 8 ESF 8 Public Health and Medical Services THIS PAGE LEFT BLANK INTENTIONALLY ESF 8 Public Health and Medical Services Table of Contents 1 Purpose and Scope... ESF 8-1 1.1 Authority... ESF 8-2 1.2 Disclaimer...

More information

The Persian Gulf Veterans Coordinating Board Fact Sheet

The Persian Gulf Veterans Coordinating Board Fact Sheet The Persian Gulf Veterans Coordinating Board Fact Sheet Persian Gulf Veterans' Health Problems An interagency board - the Persian Gulf Veterans Coordinating Board - was established in January 1994 to work

More information

COMPLIANCE WITH THIS PUBLICATION IS MANDATORY

COMPLIANCE WITH THIS PUBLICATION IS MANDATORY BY ORDER OF THE SECRETARY OF THE AIR FORCE AIR FORCE POLICY DIRECTIVE 10-25 28 APRIL 2014 Operations AIR FORCE EMERGENCY MANAGEMENT PROGRAM COMPLIANCE WITH THIS PUBLICATION IS MANDATORY ACCESSIBILITY:

More information

Emerging Infectious Diseases Preparedness and Response

Emerging Infectious Diseases Preparedness and Response Emerging Infectious Diseases Preparedness and Response Stacy Hall, RN MSN Center for Community Preparedness Office of Public Health Department of Health and Hospitals November 2014 Objectives National

More information

World Health Organization (WHO)

World Health Organization (WHO) 139 World Health Organization (WHO) Location: Geneva, Switzerland Contact Information: World Health Organization 20 Avenue Appia, CH-1211 Geneva 27 Switzerland World Health Organization Office in the UN

More information

Chapter 17: Foreign Policy and National Defense Section 2

Chapter 17: Foreign Policy and National Defense Section 2 Chapter 17: Foreign Policy and National Defense Section 2 Objectives 1. Summarize the functions, components, and organization of the Department of Defense and the military departments. 2. Explain how the

More information

NATO UNCLASSIFIED. 6 January 2016 MC 0472/1 (Final)

NATO UNCLASSIFIED. 6 January 2016 MC 0472/1 (Final) 6 January 2016 MC 0472/1 (Final) SEE DISTRIBUTION FINAL DECISION ON MC 0472/1 MC CONCEPT FOR COUNTER-TERRORISM 1. On 21 Dec 15, under the silence procedure, the Council approved the new Military Concept

More information

Overview Chemical Demilitarization and CBRN Analysis Branch

Overview Chemical Demilitarization and CBRN Analysis Branch Overview Chemical Demilitarization and CBRN Analysis Branch The Branch is comprised of three teams aligned to its major functional areas; however, team members support projects across all of the teams

More information

Department of Defense INSTRUCTION

Department of Defense INSTRUCTION Department of Defense INSTRUCTION NUMBER 6205.2 October 9, 1986 ASD(FM&P/HA) SUBJECT: Immunization Requirements References: (a) DoD Directive 5136.1, "Assistant Secretary of Defense (Health Affairs),"

More information

Chemical, Biological, Radiological, and Nuclear Response

Chemical, Biological, Radiological, and Nuclear Response Joint Publication 3-41 R TMENT THI S W E' L L O F D E F E N D THE DEPA ARMY U NI TE D S TAT E S F O A AME RI C Chemical, Biological, Radiological, and Nuclear Response 09 September 2016 PREFACE 1. Scope

More information

REVIEW OF THE COMMONWEALTH S HOMELAND SECURITY FUNDING MAY 2005

REVIEW OF THE COMMONWEALTH S HOMELAND SECURITY FUNDING MAY 2005 REVIEW OF THE COMMONWEALTH S HOMELAND SECURITY FUNDING MAY 2005 REPORT SUMMARY This report summarizes the primary sources of funding the Commonwealth receives from the federal government for homeland security

More information

UNIT 2: ICS FUNDAMENTALS REVIEW

UNIT 2: ICS FUNDAMENTALS REVIEW UNIT 2: ICS FUNDAMENTALS REVIEW This page intentionally left blank. Visuals October 2013 Student Manual Page 2.1 Activity: Defining ICS Incident Command System (ICS) ICS Review Materials: ICS History and

More information

Public Health s Role in Healthcare Coalitions

Public Health s Role in Healthcare Coalitions 1 Public Health s Role in Healthcare Coalitions Michael Clark, MD, MPH-Candidate Jason Liu, MD, MPH Medical Advisors Health Emergency Preparedness Program 2 Outline HCC Purpose Emergency Support Function-8

More information

Surveillance: Post-event Strategies

Surveillance: Post-event Strategies Surveillance: Post-event Strategies Developed by the Florida Center for Public Health Preparedness 1 Program Objectives Understand surveillance purpose and use in post-event epidemiologic investigation

More information

CRS Report for Congress

CRS Report for Congress Order Code RS21270 Updated August 22, 2006 CRS Report for Congress Received through the CRS Web Homeland Security Research and Development Funding, Organization, and Oversight Summary Genevieve J. Knezo

More information

United States Government Interagency Domestic Terrorism Concept of Operations Plan

United States Government Interagency Domestic Terrorism Concept of Operations Plan United States Government Interagency Domestic Terrorism Concept of Operations Plan January 2001 REPORT DOCUMENTATION PAGE 1. REPORT DATE (DD-MM-YYYY) 01-01-2001 2. REPORT TYPE 3. DATES COVERED (FROM -

More information

DOD INSTRUCTION DoD SUPPORT TO INTERNATIONAL CHEMICAL, BIOLOGICAL, RADIOLOGICAL, AND NUCLEAR (CBRN) INCIDENTS

DOD INSTRUCTION DoD SUPPORT TO INTERNATIONAL CHEMICAL, BIOLOGICAL, RADIOLOGICAL, AND NUCLEAR (CBRN) INCIDENTS DOD INSTRUCTION 2000.21 DoD SUPPORT TO INTERNATIONAL CHEMICAL, BIOLOGICAL, RADIOLOGICAL, AND NUCLEAR (CBRN) INCIDENTS Originating Component: Office of the Under Secretary of Defense for Policy Effective:

More information

Leveraging Health IT: How can informatics transform public health (and public health transform health IT)?

Leveraging Health IT: How can informatics transform public health (and public health transform health IT)? Leveraging Health IT: How can informatics transform public health (and public health transform health IT)? Claire Broome, M.D. Health Information Technology Summit March 7, 2005 How can informatics transform

More information

H. APPENDIX VIII: EMERGENCY SUPPORT FUNCTION 8 - HEALTH AND MEDICAL SERVICES

H. APPENDIX VIII: EMERGENCY SUPPORT FUNCTION 8 - HEALTH AND MEDICAL SERVICES H. APPENDIX VIII: EMERGENCY SUPPORT FUNCTION 8 - HEALTH AND MEDICAL SERVICES PRIMARY AGENCY: Department of Health SUPPORT AGENCIES: Department of Agriculture and Consumer Services, Agency for Health Care

More information

Federal Funding for Homeland Security. B Border and transportation security Encompasses airline

Federal Funding for Homeland Security. B Border and transportation security Encompasses airline CBO Federal Funding for Homeland Security A series of issue summaries from the Congressional Budget Office APRIL 30, 2004 The tragic events of September 11, 2001, have brought increased Congressional and

More information

Department of Defense INSTRUCTION

Department of Defense INSTRUCTION Department of Defense INSTRUCTION NUMBER 2000.18 December 4, 2002 SUBJECT: Department of Defense Installation Chemical, Biological, Radiological, Nuclear and High-Yield Explosive Emergency Response Guidelines

More information

NYC Radiological Planning

NYC Radiological Planning NYC Radiological Planning Marisa Raphael, Deputy Commissioner New York City Department of Health and Mental Hygiene Office of Emergency Preparedness and Response Outline Risk of RDD in NYC NYC Radiological

More information

THE INCIDENT COMMAND SYSTEM FOR PUBLIC HEALTH DISASTER RESPONDERS

THE INCIDENT COMMAND SYSTEM FOR PUBLIC HEALTH DISASTER RESPONDERS THE INCIDENT COMMAND SYSTEM FOR PUBLIC HEALTH DISASTER RESPONDERS by Walter G. Green III, Ph.D., CEM Assistant Professor of Emergency Management University of Richmond A Paper Presented At The August 2002

More information

Office of Emergency Preparedness

Office of Emergency Preparedness Bioterrorism Hospital Preparedness Program Healthcare Personnel Emergency Preparedness (HPEP) Competencies Minnesota Department of Health Office of Emergency Preparedness COMPETENCY 1: Demonstrate understanding

More information

National Public Health Performance Standards. Local Assessment Instrument

National Public Health Performance Standards. Local Assessment Instrument National Public Health Performance Standards Local Assessment Instrument Table of Contents Acknowledgments...3 Introduction...5 Using the Local Instrument...7 Local Instrument Format... 7 Completing the

More information

5st3 rq RELEASED. (;AO,,NSlAl)-W -2. -_._ w., - CHEMICAL AND BIO LOGICAL DEFENSE U.S. F orces Are Not Adequate ly Equip to Dete ct AI1 Threats

5st3 rq RELEASED. (;AO,,NSlAl)-W -2. -_._ w., - CHEMICAL AND BIO LOGICAL DEFENSE U.S. F orces Are Not Adequate ly Equip to Dete ct AI1 Threats -.._..-_ I... I._I. -...._.._....- -...^....._.._.....-._.. -..l-_.-..-.-- - CHEMICAL AND BIO LOGICAL DEFENSE U.S. F orces Are Not Adequate ly Equip to Dete ct AI1 Threats 148623 RESTRICTED-Not to be released

More information

Special session on Ebola. Agenda item 3 25 January The Executive Board,

Special session on Ebola. Agenda item 3 25 January The Executive Board, Special session on Ebola EBSS3.R1 Agenda item 3 25 January 2015 Ebola: ending the current outbreak, strengthening global preparedness and ensuring WHO s capacity to prepare for and respond to future large-scale

More information

Interim Report of the Defense Science Board Task Force on SARS Quarantine. December 2004

Interim Report of the Defense Science Board Task Force on SARS Quarantine. December 2004 Interim Report of the Defense Science Board Task Force on SARS Quarantine December 2004 Office of the Under Secretary of Defense For Acquisition, Technology, and Logistics Washington, D.C. 20301-3140 This

More information

Homeland Security Research and Development Funding, Organization, and Oversight

Homeland Security Research and Development Funding, Organization, and Oversight Homeland Security Research and Development Funding, Organization, and Oversight name redacted December 29, 2006 Congressional Research Service CRS Report for Congress Prepared for Members and Committees

More information

DOD INSTRUCTION NATIONAL DISASTER MEDICAL SYSTEM (NDMS)

DOD INSTRUCTION NATIONAL DISASTER MEDICAL SYSTEM (NDMS) DOD INSTRUCTION 6010.22 NATIONAL DISASTER MEDICAL SYSTEM (NDMS) Originating Component: Office of the Under Secretary of Defense for Personnel and Readiness Effective: April 14, 2016 Releasability: Cleared

More information

The Most Likely Terrorist Use of Chemical or Biological Agents

The Most Likely Terrorist Use of Chemical or Biological Agents Picture by Associated Press The Most Likely Terrorist Use of Chemical or Biological Agents By L Rivera, PhD Terrorists have elevated their operations to an all out war against the US and the free world.

More information

Terrorism Consequence Management

Terrorism Consequence Management Terrorism Consequence Management The Threat Against Nuclear Facilities Don Lumpkins, Anti-Terrorism Officer Maryland Emergency Management agency Fun, Fun, Fun... Background on Terrorism Goals and Motivations

More information

GAO. FOOD SAFETY Agencies Should Further Test Plans for Responding to Deliberate Contamination

GAO. FOOD SAFETY Agencies Should Further Test Plans for Responding to Deliberate Contamination GAO United States General Accounting Office Report to the Chairman, Permanent Subcommittee on Investigations, Committee on Governmental Affairs, U.S. Senate October 1999 FOOD SAFETY Agencies Should Further

More information

Defense Technical Information Center Compilation Part Notice

Defense Technical Information Center Compilation Part Notice UNCLASSIFIED Defense Technical Information Center Compilation Part Notice ADP010934 TITLE: Pre-Deployment Medical Readiness Preparation DISTRIBUTION: Approved for public release, distribution unlimited

More information

The 911 Implementation Act runs 280 pages over nine titles. Following is an outline that explains the most important provisions of each title.

The 911 Implementation Act runs 280 pages over nine titles. Following is an outline that explains the most important provisions of each title. A9/11 Commission Report Implementation Act@ The 911 Implementation Act runs 280 pages over nine titles. Following is an outline that explains the most important provisions of each title. I. Reform of the

More information

Italy s air CBRN mindset

Italy s air CBRN mindset Colonel Massimo Cicerone, commandant of the Italian air force s 3rd wing talks to Gwyn Winfield GW: What is the future direction of the Italian air force s CBRN capability? Can you see yourselves remaining

More information

CBRN Defense Conference & Exhibition

CBRN Defense Conference & Exhibition CBRN Defense Conference & Exhibition Connect with Industry Government Academia Promoting the positive exchange of information in the ever growing CBRN threat around the world and in our homeland. August

More information

Department of Defense INSTRUCTION

Department of Defense INSTRUCTION Department of Defense INSTRUCTION NUMBER 6490.13 September 11, 2015 Incorporating Change 1, Effective March 31, 2017 USD(P&R) SUBJECT: Comprehensive Policy on Traumatic Brain Injury-Related Neurocognitive

More information

Biosurveillance: From Data to Actions and Impact Thursday, May 7th, 2015 Meeting Background Information:

Biosurveillance: From Data to Actions and Impact Thursday, May 7th, 2015 Meeting Background Information: Biosurveillance: From Data to Actions and Impact Thursday, May 7th, 2015 Room 105 (overflow room Room 208) National Academy of Sciencess Keck Centerr 5000 5 th Street NW, Washington DC, 20001 Meeting Background

More information

Support RAND. For More Information

Support RAND. For More Information THE ARTS CHILD POLICY CIVIL JUSTICE EDUCATION ENERGY AND ENVIRONMENT HEALTH AND HEALTH CARE INTERNATIONAL AFFAIRS NATIONAL SECURITY POPULATION AND AGING PUBLIC SAFETY SCIENCE AND TECHNOLOGY SUBSTANCE ABUSE

More information

Progress of Biodefense for the 21 st Century A Five-Year Evaluation Al Mauroni 1. Introduction

Progress of Biodefense for the 21 st Century A Five-Year Evaluation Al Mauroni 1. Introduction Progress of Biodefense for the 21 st Century A Five-Year Evaluation Al Mauroni 1 Introduction The U.S. government (USG) has recognized the possibility of a domestic chemical or biological (CB) terrorist

More information

52nd Civil Support Team

52nd Civil Support Team 52nd Civil Support Team (Weapons of Mass Destruction) Civil Support Team Mission The 52nd Civil Support Team deploys in support of civil authorities at a domestic Chemical, Biological, Radiological, Nuclear,

More information

The State Medical Response System of Mississippi

The State Medical Response System of Mississippi The State Medical Response System of Mississippi Define Disaster Needs > Resources = Disaster When the need for resources is (or will be) greater than the resources available, you have a disaster. Response

More information

Ebola Campus Preparedness Considerations

Ebola Campus Preparedness Considerations Ebola Campus Preparedness Considerations Craig Roberts, PA-C, M.S. Sarah Van Orman, M.D., M.M.M. Joanne Vogel, Ph.D. Learning Outcomes To identify the key domains for planning and preparedness for Ebola

More information

Clinical Guidance on the Identification and Evaluation of Possible SARS-CoV Disease among Persons Presenting with Community-Acquired Illness Version 2

Clinical Guidance on the Identification and Evaluation of Possible SARS-CoV Disease among Persons Presenting with Community-Acquired Illness Version 2 GUIDANCE AND RECOMMENDATIONS Clinical Guidance on the Identification and Evaluation of Possible SARS-CoV Disease among Persons Presenting with Community-Acquired Illness Version 2 This document provides

More information

KANSAS CITY, MISSOURI EMERGENCY OPERATIONS PLAN. Annex M: Health and Medical

KANSAS CITY, MISSOURI EMERGENCY OPERATIONS PLAN. Annex M: Health and Medical KANSAS CITY, MISSOURI EMERGENCY OPERATIONS PLAN Annex M: Health and Medical April 2016 KANSAS CITY, MISSOURI HEALTH AND MEDICAL PLAN Primary (lead) Departments: Secondary (support) Departments: Secondary

More information

San Joaquin Operational Area. Emergency Operations Center MEDICAL HEALTH BRANCH PLAN

San Joaquin Operational Area. Emergency Operations Center MEDICAL HEALTH BRANCH PLAN San Joaquin Operational Area Emergency Operations Center MEDICAL HEALTH BRANCH PLAN December 23, 2014 Table of Contents I. INTRODUCTION... 2 II. PURPOSE AND AUTHORITY... 2 III. PLANNING ASSUMPTIONS...

More information

The NATO Science for Peace and Security (SPS) Programme

The NATO Science for Peace and Security (SPS) Programme The NATO Science for Peace and Security (SPS) Programme Overview of the SPS Programme for Cooperation in Civil Science and Available Grant Opportunities Dr. Deniz Yüksel-Beten, Head Threats & Challenges

More information

STRENGTHENING THE NAVAL TRANSPORT PROTECTION CAPACITIES OF ROMANIAN GENDARMERIE

STRENGTHENING THE NAVAL TRANSPORT PROTECTION CAPACITIES OF ROMANIAN GENDARMERIE STRENGTHENING THE NAVAL TRANSPORT PROTECTION CAPACITIES OF ROMANIAN GENDARMERIE POTENTIAL THREATS OF NUCLEAR SECURITY Potential threats to nuclear security shipment involve criminals or terrorists acquiring

More information

DoD Countering WMD Graduate Fellowship Program

DoD Countering WMD Graduate Fellowship Program DoD Countering WMD Graduate Fellowship Program New CWMD Fellows Orientation Weapons of Mass Destruction National Defense University 1 Introductions Director, Weapons of Mass Destruction, National Defense

More information

NIMS and the Incident Command System (ICS)

NIMS and the Incident Command System (ICS) Introduction The way this nation prepares for and responds to domestic incidents is about to change. It won't be an abrupt change; best practices that have been developed over the years are part of this

More information

Participation in Professional Conferences By Government Scientists and Engineers

Participation in Professional Conferences By Government Scientists and Engineers Participation in Professional Conferences By Government Scientists and Engineers Approved by the IEEE-USA Board of Directors, 3 August 2015 IEEE-USA strongly supports active participation by government

More information

POLICY ISSUES AND ALTERNATIVES

POLICY ISSUES AND ALTERNATIVES POLICY ISSUES AND ALTERNATIVES 6 POLICY ISSUES AND ALTERNATIVES A broad range of impacts accompanies the introduction of medical information systems into medical care institutions. Improved quality, coordination,

More information

U.S. STRATEGY FOR BIOTERRORISM EMERGENCY MEDICAL PREPAREDNESS AND RESPONSE

U.S. STRATEGY FOR BIOTERRORISM EMERGENCY MEDICAL PREPAREDNESS AND RESPONSE USAWC STRATEGY RESEARCH PROJECT U.S. STRATEGY FOR BIOTERRORISM EMERGENCY MEDICAL PREPAREDNESS AND RESPONSE by Lieutenant Colonel Angel L. Lugo United States Army Colonel Wayne Foxworth Project Advisor

More information

Clinical Development Process 2017

Clinical Development Process 2017 InterQual Clinical Development Process 2017 InterQual Overview Thousands of people in hospitals, health plans, and government agencies use InterQual evidence-based clinical decision support content to

More information

FOR OFFICIAL USE ONLY U.S. Department of Homeland Security Washington, DC 20528

FOR OFFICIAL USE ONLY U.S. Department of Homeland Security Washington, DC 20528 U.S. Department of Homeland Security Washington, DC 20528 FY 2006 Urban Areas Security Initiative (UASI) Award for the Las Vegas Area Las Vegas Area FY 2006 UASI Award $ 7,750,000 Risk: The Las Vegas Area

More information

CRS Report for Congress Received through the CRS Web

CRS Report for Congress Received through the CRS Web Order Code RL30938 CRS Report for Congress Received through the CRS Web Terrorism and the Military s Role in Domestic Crisis Management: Background and Issues for Congress April 19, 2001 Jeffrey D. Brake

More information

Active biosurveillance in an urban metropolitan area

Active biosurveillance in an urban metropolitan area Active biosurveillance in an urban metropolitan area Sheryl L. Happel Lewis, MPH 1 Kathy Hurt-Mullen, MPH 2 Wayne Loschen, MS 1 Richard A. Wojcik, MS 1 Joseph S. Lombardo, MS 1 November 18, 2003 1 The

More information

Russia News. Focus on a more operational partnership. issue 3. NATO-Russia Council (NRC) defence ministers meet informally in Berlin

Russia News. Focus on a more operational partnership. issue 3. NATO-Russia Council (NRC) defence ministers meet informally in Berlin C o n t e n t s 2 NRC defence ministers meeting 2 Nuclear weapons accident-response exercise 3-6 Focus on industrial exhibition; disease surveillance; submarine rescue issue 3 2005 NATO Focus on a more

More information

Public Health Guidance for Community-Level Preparedness and Response to Severe Acute Respiratory Syndrome (SARS) Draft October 2003

Public Health Guidance for Community-Level Preparedness and Response to Severe Acute Respiratory Syndrome (SARS) Draft October 2003 Public Health Guidance for Community-Level Preparedness and Response to Severe Acute Respiratory Syndrome (SARS) Draft October 2003 The Centers for Disease Control and Prevention (CDC) is making this document

More information

International Health Regulations - Comments from the Center for Law & the Public's Health

International Health Regulations - Comments from the Center for Law & the Public's Health International Health Regulations - Comments from the Center for Law & the Public's Health Copyright 2004 Lawrence O. Gostin. No claim made to original government works Doc. 120202 bg The Center for Law

More information

UNIVERSAL TASK LIST: Version 2.1

UNIVERSAL TASK LIST: Version 2.1 UNIVERSAL TASK LIST: Version 2.1 U.S. Department of Homeland Security OFFICE OF STATE AND LOCAL GOVERNMENT COORDINATION AND PREPAREDNESS May 23, 2005 TABLE OF CONTENTS INTRODUCTION...1 Capabilities-Based

More information

Defense Security Service Academy OCA Desk Reference Guide

Defense Security Service Academy OCA Desk Reference Guide Defense Security Service Academy OCA Desk Reference Guide May 007 Final Page OCA Decision Aid The safety and security of the United States depend upon the protection of sensitive information. Classification

More information

Source: Weekly Compilation of Presidential Documents (February 12, 2007), v.43 n.6, p

Source: Weekly Compilation of Presidential Documents (February 12, 2007), v.43 n.6, p 128 Feb. 6 / Administration of George W. Bush, 2007 [laughter] but I detected a bounce in people s step. I detected the fact that I m here in an exciting place for people to work. I appreciated when the

More information

Part 1.3 PHASES OF EMERGENCY MANAGEMENT

Part 1.3 PHASES OF EMERGENCY MANAGEMENT Part 1.3 PHASES OF EMERGENCY MANAGEMENT Four primary phases of emergency management are outlined below, relating to campus mitigation, preparedness, response and recovery activities occurring before, during,

More information

REQUESTING STRATEGIC NATIONAL STOCKPILE ASSETS

REQUESTING STRATEGIC NATIONAL STOCKPILE ASSETS REQUESTING STRATEGIC NATIONAL STOCKPILE ASSETS Presented by: Tom Klewin Public Health Preparedness Representative twk01@health.state.ny.us 518-402-7713 Point of Distribution The Strategic National Stockpile

More information

PATIENT NOTICE OF PRIVACY PRACTICES Effective Date: June 1, 2012 Updated: May 9, 2017

PATIENT NOTICE OF PRIVACY PRACTICES Effective Date: June 1, 2012 Updated: May 9, 2017 PREMIER PSYCHIATRY Psychiatric and Behavioral Health Services PATIENT NOTICE OF PRIVACY PRACTICES Effective Date: June 1, 2012 Updated: May 9, 2017 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU

More information

San Mateo County Health Department s Protocol for Communicable Disease Response at San Francisco International Airport

San Mateo County Health Department s Protocol for Communicable Disease Response at San Francisco International Airport Issue Background Findings Conclusions Recommendations Responses Attachments Issue San Mateo County Health Department s Protocol for Communicable Disease Response at San Francisco International Airport

More information

For Immediate Release October 7, 2011 EXECUTIVE ORDER

For Immediate Release October 7, 2011 EXECUTIVE ORDER THE WHITE HOUSE Office of the Press Secretary For Immediate Release October 7, 2011 EXECUTIVE ORDER - - - - - - - STRUCTURAL REFORMS TO IMPROVE THE SECURITY OF CLASSIFIED NETWORKS AND THE RESPONSIBLE SHARING

More information

Case M:06-cv VRW Document 254 Filed 04/20/2007 Page 1 of 10 IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF CALIFORNIA

Case M:06-cv VRW Document 254 Filed 04/20/2007 Page 1 of 10 IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF CALIFORNIA Case M:06-cv-091-VRW Document 254 Filed 04//07 Page 1 of IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF CALIFORNIA IN RE NATIONAL SECURITY AGENCY TELECOMMUNICATIONS RECORDS LITIGATION

More information

Assessing Medical Preparedness for a Nuclear Event: IOM Workshop. Amy Kaji, MD, PhD Harbor-UCLA Medical Center Los Angeles, CA

Assessing Medical Preparedness for a Nuclear Event: IOM Workshop. Amy Kaji, MD, PhD Harbor-UCLA Medical Center Los Angeles, CA Assessing Medical Preparedness for a Nuclear Event: IOM Workshop Amy Kaji, MD, PhD Harbor-UCLA Medical Center Los Angeles, CA Hospital Preparedness (HPP) Grant (Year 5) Previously called the National Bioterrorism

More information

Public Health Emergency Preparedness Cooperative Agreements (CDC) Hospital Preparedness Program (ASPR - PHSSEF) FY 2017 Labor HHS Appropriations Bill

Public Health Emergency Preparedness Cooperative Agreements (CDC) Hospital Preparedness Program (ASPR - PHSSEF) FY 2017 Labor HHS Appropriations Bill Public Health Emergency Preparedness Cooperative Agreement (CDC) Hospital Preparedness Program (ASPR - PHSSEF) FY 2017 Labor HHS Appropriations Bill Public Health Emergency Preparedness (CDC) Hospital

More information

Confrontation or Collaboration?

Confrontation or Collaboration? Confrontation or Collaboration? Congress and the Intelligence Community Ogranization of the Intelligence Community Eric Rosenbach and Aki J. Peritz Organization of the Intelligence Community The United

More information

County of Santa Clara Emergency Medical Services System

County of Santa Clara Emergency Medical Services System County of Santa Clara Emergency Medical Services System Policy # 700-S01 Ebola Virus Disease Prevention and Control EBOLA VIRUS DISEASE PREVENTION AND CONTROL Effective: December 8, 2014 Replaces: October

More information

ADVANCED PLASTIC SURGERY, PLLC. NOTICE OF PRIVACY PRACTICES

ADVANCED PLASTIC SURGERY, PLLC. NOTICE OF PRIVACY PRACTICES Effective Date: July 1 st 2013 ADVANCED PLASTIC SURGERY, PLLC. NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO

More information

Draft Rules for the Limitation of the Dangers incurred by the Civilian Population in Time of War. ICRC, 1956 PREAMBLE

Draft Rules for the Limitation of the Dangers incurred by the Civilian Population in Time of War. ICRC, 1956 PREAMBLE Draft Rules for the Limitation of the Dangers incurred by the Civilian Population in Time of War. ICRC, 1956 PREAMBLE All nations are deeply convinced that war should be banned as a means of settling disputes

More information

Science and Technology Conference for Chem-Bio Information Systems

Science and Technology Conference for Chem-Bio Information Systems Science and Technology Conference for Chem-Bio Information Systems Joint Requirements Office for Chemical, Biological, Radiological, and Nuclear Defense (JRO for CBRND) 24-28 October 2005 1 JRO CBRN Defense

More information

National Council on Radiation Protection & Measurements (NCRP)

National Council on Radiation Protection & Measurements (NCRP) National Council on Radiation Protection & Measurements (NCRP) Program Action Committee (PAC) 3 Nuclear and Radiological Security and Safety Sara D. DeCair ISCORS: Nov. 9, 2015 Who are we? Tammy P. Taylor*,

More information

Incident Action Planning for pre-incident Ebola

Incident Action Planning for pre-incident Ebola Incident Action Planning for pre-incident Ebola The HICS Quick Start Plans are nothing - planning is everything General D Eisenhower 1 Where do I find HICS and IAP information? www.emsa.ca.gov/disaster_medical_services_

More information

EMERGENCY PREPAREDNESS 2017 Additional information for staff of Children s Hospital of Pittsburgh

EMERGENCY PREPAREDNESS 2017 Additional information for staff of Children s Hospital of Pittsburgh EMERGENCY PREPAREDNESS 2017 Additional information for staff of Children s Hospital of Pittsburgh CHP Emergency Preparedness Program (EPP) Children s Hospital of Pittsburgh of UPMC Emergency Preparedness

More information

Department of Homeland Security Grants to State and Local Governments: FY2003 to FY2006

Department of Homeland Security Grants to State and Local Governments: FY2003 to FY2006 Order Code RL33770 Department of Homeland Security Grants to State and Local Governments: December 22, 2006 Steven Maguire Analyst in Public Finance Government and Finance Division Shawn Reese Analyst

More information

VIRGINIA TECH INSTITUTIONAL BIOSAFETY COMMITTEE

VIRGINIA TECH INSTITUTIONAL BIOSAFETY COMMITTEE 9/16/2014 Purpose VIRGINIA TECH INSTITUTIONAL BIOSAFETY COMMITTEE Ensure the safe and compliant use of biohazardous materials by the university community which includes: o recombinant and synthetic nucleic

More information

Dale Atkins and Drew Davis

Dale Atkins and Drew Davis Rationale and Models for Transition of Management of Avalanche Rescues from the Three Stage Model to the Incident Command System Presented by: Dale Atkins and Drew Davis Rationale and Models for Transition

More information

Homeland Security. Chapter e57 1. STATUTORY AUTHORITIES. The USA PATRIOT Act of 2001 (PL )

Homeland Security. Chapter e57 1. STATUTORY AUTHORITIES. The USA PATRIOT Act of 2001 (PL ) Chapter e57 Homeland Security Rahul Bhaskar, Ph.D. California State University Bhushan Kapoor California State University 1. STATUTORY AUTHORITIES Here we discuss the important homeland security-related

More information

Course Syllabus. Course Description. Course Textbook(s) Course Learning Outcomes. Prerequisite(s) Credits. Course Structure

Course Syllabus. Course Description. Course Textbook(s) Course Learning Outcomes. Prerequisite(s) Credits. Course Structure HLS 3301, Weapons of Mass Destruction Course Syllabus Course Description An overview of a broad range of topics concerning the use of weapons of mass destruction (WMD), including nuclear, chemical, and

More information

Support. Introduction

Support. Introduction Engineering SUPPORT.. Introduction Edgewood Chemical Biological Center (ECBC) Engineering products and services are designed to meet customer needs for the duration of the mission. Engineering supports

More information

A FUTURE MARITIME CONFLICT

A FUTURE MARITIME CONFLICT Chapter Two A FUTURE MARITIME CONFLICT The conflict hypothesized involves a small island country facing a large hostile neighboring nation determined to annex the island. The fact that the primary attack

More information